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利用头发和尿液分析评估医院专业人员的内分泌干扰物暴露情况:一项宣传活动。

Assessment of Endocrine Disruptor Exposure in Hospital Professionals Using Hair and Urine Analyses: An Awareness Campaign.

作者信息

Robin Julien, Albouy Marion, Jourdain Bernard, Binson Guillaume, Sauvaget Alexis, Pierre-Eugène Pascale, Wu Luyao, Migeot Virginie, Dupuis Antoine, Venisse Nicolas

机构信息

Biology-Pharmacy-Public Health Department, University Hospital of Poitiers.

INSERM, Clinical Investigation Center 1402.

出版信息

Ther Drug Monit. 2024 Feb 1;46(1):102-110. doi: 10.1097/FTD.0000000000001132. Epub 2023 Aug 8.

Abstract

BACKGROUND

In 2021, French public authorities initiated the fourth National Environmental Health Plan to prevent environment-related health risks. This plan primarily focuses on the sensitization of health professionals and health care institutions. Endocrine disruptors (EDs) are environmental factors associated with several adverse health effects, such as reproductive disorders, obesity, and cancer. This study aimed to conduct an awareness campaign among professionals at a general hospital center on the risks related to EDs.

METHODS

Hospital professionals were directly involved in this study, and urine and hair samples were collected to determine bisphenol and paraben exposure levels. Analyses were performed using validated liquid chromatography-tandem mass spectrometry methods, enabling the simultaneous determination of bisphenols and parabens. A questionnaire on lifestyle habits was distributed to assess its relationship with the exposure profiles. Nineteen professionals were recruited for the study.

RESULTS

Bisphenol A was detected in 95% of the urine samples, and the chlorinated derivatives of bisphenol A were between 16% and 63%. parabens showed detection frequencies between 37% and 100%, and methylparaben was quantified at an average concentration of 0.45 ± 0.46 ng/mL. In hair samples, bisphenols A, F, and S were detected at 95%-100%, chlorinated derivatives of bisphenol A were detected at 37%-68%, and parabens were detected at 100%.

CONCLUSIONS

This awareness campaign may encourage health care institutions to adopt a policy of reducing endocrine disruptor exposure among their patients and professionals, who could be educated regarding the risks associated with EDs. Conducting a multicenter study to refine the results herein and establish a dynamic to prevent endocrine disruptor and environmental risks in health care systems would be valuable.

摘要

背景

2021 年,法国公共当局启动了第四个国家环境健康计划,以预防与环境相关的健康风险。该计划主要侧重于提高卫生专业人员和医疗机构的认识。内分泌干扰物(EDs)是与多种不良健康影响相关的环境因素,如生殖障碍、肥胖和癌症。本研究旨在对一家综合医院中心的专业人员开展有关 ED 相关风险的宣传活动。

方法

医院专业人员直接参与了这项研究,采集尿液和头发样本以确定双酚和对羟基苯甲酸酯的暴露水平。分析采用经验证的液相色谱-串联质谱法进行,能够同时测定双酚和对羟基苯甲酸酯。分发了一份关于生活方式习惯的问卷,以评估其与暴露特征的关系。研究共招募了 19 名专业人员。

结果

在 95%的尿液样本中检测到双酚 A,而双酚 A 的氯化衍生物在 16%至 63%之间。对羟基苯甲酸酯的检出率在 37%至 100%之间,而甲基对羟基苯甲酸酯的平均浓度为 0.45±0.46ng/ml。在头发样本中,检测到 95%-100%的双酚 A、F 和 S,双酚 A 的氯化衍生物在 37%-68%之间,对羟基苯甲酸酯的检出率为 100%。

结论

此次宣传活动可能鼓励医疗机构为其患者和专业人员采取减少内分泌干扰物暴露的政策,同时对其进行与 ED 相关风险的教育。开展一项多中心研究,以细化本文的结果并建立一种预防医疗保健系统中内分泌干扰物和环境风险的动态,将是有价值的。

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